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经颅低水平激光疗法在卒中动物模型中的应用:与脑梗死、小胶质细胞激活和神经炎症的相关性。

Transcranial low-level laser therapy in an in vivo model of stroke: Relevance to the brain infarct, microglia activation and neuroinflammation.

机构信息

Disciplina de Neurociência, Departamento de Neurologia e Neurocirurgia, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.

Programa de Pós-graduação em Medicina Translacional, Departamento de Ciência e Tecnologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.

出版信息

J Biophotonics. 2021 Jun;14(6):e202000500. doi: 10.1002/jbio.202000500. Epub 2021 Mar 8.

Abstract

Stroke is the main cause of death and functional disability. The available therapy affects only 5% of patients, and new therapeutic approaches have been constantly tested. Transcranial photobiomodulation (PBM) is promising for its neuroprotective effect on brain injuries. Thus, the present study investigated the PBM effects in an in vivo model of ischemic stroke induced by photothrombosis (PT). Five different groups of Wistar rats were submitted or not to a daily dose of fish oil or/and laser sessions for 2 months. The ischemia volume was evaluated by stereology; GFAP, Iba and NeuN by immunohistochemistry; TNF-α, IL-1β, IL-6, IL-10 and TGF-β by ELISA assay. PBM influenced both the lesion volume and the GFAP. Furthermore, PBM and Ω-3 or both reduced Iba RNAm. PBM reduced TNF-α, IL-1β, IL-6, brain damage, neuroinflammation and microglial activation, and it increased astroglial activity in peri-lesioned region after stroke.

摘要

中风是主要的死亡和功能障碍原因。现有的治疗方法仅适用于 5%的患者,因此一直在不断测试新的治疗方法。经颅光生物调节(PBM)因其对脑损伤的神经保护作用而具有广阔的应用前景。因此,本研究在光血栓形成(PT)诱导的缺血性中风的体内模型中研究了 PBM 的作用。五组 Wistar 大鼠接受或不接受每日剂量的鱼油和/或激光治疗 2 个月。通过立体学评估缺血体积;通过免疫组织化学评估 GFAP、Iba 和 NeuN;通过 ELISA 测定 TNF-α、IL-1β、IL-6、IL-10 和 TGF-β。PBM 影响病变体积和 GFAP。此外,PBM 和 Ω-3 或两者都降低了 Iba RNAm。PBM 降低了 TNF-α、IL-1β、IL-6、脑损伤、神经炎症和小胶质细胞激活,并增加了中风后损伤周围区域的星形胶质细胞活性。

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